Susan Massey-Connolly, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

3832 Issued in GA

Practice address

140 Decatur St
The Urban Life Building 10TH Floor Suite 1053
Atlanta, GA 30302-3995

Phone

(404) 413-6245

Fax

(404) 413-6130

NPI assigned

Nov 5, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1720451214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3995",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303023995",
            "telephone_number": "404-413-6245",
            "fax_number": "404-413-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 DECATUR ST",
            "address_2": "THE URBAN LIFE BUILDING 10TH FLOOR SUITE 1053",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303023995",
            "telephone_number": "404-413-6245",
            "fax_number": "404-413-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY-CONNOLLY",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "3832",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "GA",
            "license": "3832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Massage Cocoon
• Massage Experience of Georgia
• Laura Elaine Pax Massarelli, MD
• Annie Massart, M.D.
• Dania N Masseoud, M.D.
• Anthony L Massey, PAAA
• Damari Massey
• Jasmin Massey, PA-C
• Jocelyn Andrea Massey
• Joe B Massey, M.D.

• Clinical Neuropsychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Neuropsychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.